2022-02-03T09:58:27-06:00 2021-03-31 381357951 PLANTE & MORAN PLLC 600 E FRONT ST STE 300 TRAVERSE CITY MI 49686 990 2020-04-01 382800065 HOLLAND COMMUNITY HOSPITAL HOLL 6163925141 602 MICHIGAN AVENUE HOLLAND MI 49423 DALE SOWDERS PRESIDENT & CEO 6163925141 2022-01-23 1 DALE SOWDERS 999009999 OLIVER JURKOVIC P00433694 2319477800 2022-01-23 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z HOLLAND HOSPITAL DALE SOWDERS 602 MICHIGAN AVENUE HOLLAND MI 49423 308514128 0 X WWW.HOLLANDHOSPITAL.ORG X 1985 MI TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. 14 10 2470 240 1145816 0 1126650 18483557 267540422 258449896 5750493 8879252 1187826 726328 275605391 286539033 919988 909988 0 0 149762113 148867082 0 0 111125 119160582 122854366 269842683 272631436 5762708 13907597 498901210 577046550 144123866 161273242 354777344 415773308 X TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. 0 0 248621058 909988 258030408 HOLLAND HOSPITAL, LOCATED IN HOLLAND, MI, IS A NATIONALLY RECOGNIZED LEADER IN QUALITY AND VALUE, WITH ADVANCED TECHNOLOGY AND HIGH PATIENT SATISFACTION. THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES, MULTIPLE CONVENIENT LOCATIONS AND READY ACCESS TO A VARIETY OF PRIMARY CARE PROVIDERS AND EXPERIENCED SPECIALISTS.FOR OVER A CENTURY, OUR MISSION HAS BEEN TO CONTINUALLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. WE MEASURE OUR ACHIEVEMENTS ON FIVE STRATEGIC ESSENTIALS: FINANCIAL STRENGTH, GROWTH, QUALITY, SUPERIOR SERVICE AND SUPERIOR WORKFORCE.NATIONALLY RECOGNIZED QUALITY AND VALUETHE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) USES THE OVERALL HOSPITAL QUALITY STAR RATINGS SYSTEM TO EVALUATE AND COMPARE HOSPITALS NATIONWIDE. THE SYSTEM SUMMARIZES NUMEROUS QUALITY MEASURES INTO A UNIFIED RATING OF ONE TO FIVE STARS. HOLLAND HOSPITAL IS AMONG JUST 14% OF HOSPITALS IN THE NATION TO EARN THE TOP CMS 5-STAR RATING THIS YEAR AND ONE OF THE FEW TO CONSISTENTLY ACHIEVE THE 5-STAR RATING SINCE IT WAS INTRODUCED. HOLLAND HOSPITAL IS ALSO AMONG THE REGION'S LOWEST COST PROVIDERS, DELIVERING EXCEPTIONAL VALUE AND AN OUTSTANDING PATIENT EXPERIENCE.THE ORGANIZATION IS ONE OF A SELECT GROUP OF HOSPITALS TO ACHIEVE AND MAINTAIN THE INTERNATIONAL STANDARD FOR QUALITY - ISO 9001:2008 CERTIFICATION. THIS UNIVERSAL BENCHMARK DEMONSTRATES OUR COMMITMENT TO ORGANIZATIONAL EXCELLENCE. OUR DEDICATION TO SYSTEMATICALLY IMPROVE QUALITY IS THE FOUNDATION OF SUPERIOR OUTCOMES AND HIGHER PATIENT SATISFACTION. THIS HAS EARNED NATIONAL RECOGNITION OVER MULTIPLE YEARS FROM THE LEADING RATING AGENCIES FOR THE TOTAL HOSPITAL AND IN ORTHOPEDICS, JOINT REPLACEMENT, CARDIOLOGY, SURGERY AND MANY OTHER AREAS.PROGRAMS / SERVICESHIGHLIGHTS OF PROGRAMS AND SERVICES THAT PROVIDE ACCESS TO QUALITY CARE INCLUDE: BOVEN BIRTH CENTERHOLLAND HOSPITAL RECENTLY OPENED A NEWLY RENOVATED AND EXPANDED BIRTH CENTER FEATURING THE LATEST TECHNOLOGY AND ENHANCEMENTS, INCLUDING 21 PRIVATE BIRTHING SUITES WITH HOME-LIKE AMENITIES, EIGHT LABOR-DELIVERY ROOMS, WELL-BABY NURSERY, STATE-OF-THE-ART OPERATING ROOMS, AND MORE. AN EIGHT-BED SPECIAL CARE NURSERY PROVIDES PRE-TERM AND TERM BABIES WHO NEED SPECIALIZED ATTENTION, EXTRA MONITORING AND CARE BEFORE GOING HOME. OUR BIRTH CENTER TEAM RECENTLY RECEIVED THE PLATINUM DESIGNATION FOR MATERNAL CARE FROM THE MICHIGAN ALLIANCE FOR INNOVATION ON MATERNAL HEALTH (MI AIM). THIS IS OUR THIRD CONSECUTIVE YEAR EARNING THE HIGHEST LEVEL AWARDED BY THE ORGANIZATION. CARDIAC CATHETERIZATION LABHOLLAND HOSPITAL'S CATH LAB DEPARTMENT HAS STATE-OF-THE-ART PROCEDURE ROOMS WITH THE LATEST TECHNOLOGY, IMAGING EQUIPMENT WITH THE HIGHEST RESOLUTION AND LOWEST RADIATION AVAILABLE FOR CARDIAC INTERVENTIONS AND A SPECIAL PROCEDURES ROOM FOR PERIPHERAL VASCULAR CARE AND PACEMAKER IMPLANTS. STROKE CARE / NEUROTHROMBECTOMY THIS YEAR, NEUROTHROMBECTOMY PROCEDURES WERE ADDED TO OUR ADVANCED CARE FOR STROKE PATIENTS. THIS PROCEDURE INVOLVES SURGICAL REMOVAL OR A BLOOD CLOT IN THE BRAIN AND PROVIDES RAPID, LOCAL ACCESS TO LIFESAVING CARE FOR STROKE PATIENTS IN CERTAIN SITUATIONS. THE NEW PROGRAM WAS DEVELOPED AND IMPLEMENTED IN COOPERATION WITH EXPERTS FROM METRO HEALTH UNIVERSITY OF MICHIGAN HEALTH AND IS ANOTHER EXAMPLE OF OUR COLLABORATIVE APPROACH TO INITIATIVES THAT CAN BEST SERVE OUR COMMUNITY. ORTHOPEDICS / JOINT REPLACEMENTOUR HOSPITAL UTILIZES THE MOST RECENT ADVANCEMENTS IN JOINT REPLACEMENT INCLUDING MAKO ROBOTIC-ASSISTED TECHNOLOGY FOR KNEE REPLACEMENT AND ANTERIOR HIP REPLACEMENT FOR FAST RECOVERY AND EXCEPTIONAL OUTCOMES. OUR SPINE & ORTHOPEDICS UNIT FEATURES SUPERIOR DESIGN AND FUNCTION FOR AN EXCELLENT PATIENT EXPERIENCE. FOR FOUR YEARS IN ROW, WE HAVE BEEN RECOGNIZED BY US NEWS & WORLD REPORT AS ONE OF THE NATION'S HIGH PERFORMING HOSPITALS FOR HIP REPLACEMENT, AS WELL AS A HIGH PERFORMING HOSPITAL FOR SPINAL FUSION IN 2021. SURGICAL SERVICESHOLLAND HOSPITAL IS ONE OF AN EXCLUSIVE NUMBER OF HOSPITALS IN MICHIGAN USING THE NEW DA VINCI XI SURGICAL SYSTEM WHICH ENABLES SURGEONS TO PERFORM CERTAIN SURGERIES THROUGH TINY, ONE TO TWO CENTIMETER INCISIONS, OR IN SOME CASES, A SINGLE INCISION FOR FASTER RECOVERY AND LESS PAIN. THE HOSPITAL ALSO OFFERS THE MAZOR X SYSTEM FOR MINIMALLY INVASIVE SURGERY WHICH PROVIDES SAFER, MORE EFFICIENT SPINAL FUSION SURGERIES. IN ADDITION, HOLLAND HOSPITAL IS THE FIRST AREA HOSPITAL TO OFFER THE OLYMPUS SOLTIVE, A NEW LASER TECHNOLOGY THAT ENABLES QUICKER AND MORE EFFECTIVE KIDNEY STONE REMOVAL. BARIATRIC SERVICESDURING THE PAST YEAR, WE ADDED BARIATRIC SERVICES TO MEET THE GROWING NEED FOR THIS LIFE-CHANGING WEIGHT LOSS SURGERY IN OUR COMMUNITY. IN PARTNERSHIP WITH GRAND HEALTH PARTNERS, AN EXPERIENCED SURGICAL TEAM IN WEST MICHIGAN, HOLLAND HOSPITAL BARIATRIC SERVICES PROVIDES A MULTIDISCIPLINARY, TAILORED APPROACH TO WEIGHT LOSS, INCLUDING SURGICAL AND NONSURGICAL INTERVENTIONS. DIGESTIVE HEALTHHOLLAND HOSPITAL SPECIALISTS HAVE EXTENSIVE EXPERIENCE TREATING HEARTBURN AND GERD WITH THE LATEST CARE OPTIONS. THE HOLLAND HOSPITAL ENDOSCOPY CENTER PERFORMS ADVANCED DIAGNOSTIC PROCEDURES AND TREATMENTS IN A COMFORTABLE SETTING WHILE OUR REFLUX CENTER PROVIDES CLOSE-TO-HOME ACCESS TO PROCEDURES SUCH AS LAPAROSCOPIC NISSEN FUNDOPLICATION (LNF) AND THE LINX REFLUX PROCEDURE. BREAST CAREHOLLAND HOSPITAL BREAST CARE IS A COORDINATED EFFORT DELIVERED BY A MULTIDISCIPLINARY TEAM. OUR MAMMOGRAPHY AND BREAST IMAGING SERVICES HAVE BEEN RECOGNIZED FOR MEETING THE HIGHEST LEVEL OF IMAGE QUALITY AND PATIENT SAFETY. WE OFFER THE NEW SMARTCURVE BREAST STABILIZATION SYSTEM WHICH IMPROVES COMFORT WHILE MAINTAINING EXCEPTIONAL IMAGE QUALITY. OUR BREAST CARE INCLUDES A HIGH-RISK BREAST CLINIC AND BREAST CANCER TREATMENT IS PROVIDED BY A TEAM OF RADIOLOGISTS, PATHOLOGISTS, SURGEONS, MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, PHYSICAL AND OCCUPATIONAL THERAPISTS, AND A NURSE NAVIGATOR WHO SERVES AS THE PATIENT'S GUIDE AND ADVOCATE. WOMEN'S SPECIALTY CAREOUR WOMEN'S SPECIALTY CARE OFFERS A RANGE OF SERVICES FOR WOMEN'S HEALTH NEEDS AT EVERY LIFE STAGE. THE PRACTICE PROVIDES ACCESS TO PERSONALIZED CARE, SPECIALIZED SUPPORT AND ADVANCED TECHNOLOGY IN A COMFORTABLE SETTING. PROVIDERS ARE CERTIFIED IN MENOPAUSAL CARE AND TREAT A BROAD SCOPE OF HEALTH CONCERNS. BEHAVIORAL HEALTHHOLLAND HOSPITAL OFFERS INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES TO ADDRESS SPECIFIC NEEDS. TREATING THE WHOLE PERSONMIND, BODY AND SPIRITIN A CONFIDENTIAL SETTING, OUR BEHAVIORAL HEALTH SPECIALISTS ARE DEDICATED TO DELIVERING PERSONALIZED CARE AND ATTENTION. IN ADDITION TO BOTH INPATIENT AND OUTPATIENT CARE, WE OFFER PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAMS WHICH ARE SHORT-TERM, INNOVATIVE TREATMENT OPTIONS FOR ADULTS WHO REQUIRE MORE SUPPORT THAN TRADITIONAL OUTPATIENT TREATMENT. VIRTUAL VISITS AND TELEHEALTHFOR CONVENIENT ACCESS TO CARE, WE HAVE INITIATED VIRTUAL VISITS (ONLINE PROVIDER APPOINTMENTS). WE ALSO OFFER TELEHEALTH MONITORING TO ENSURE EXCELLENT OUTCOMES AND REDUCE RE-HOSPITALIZATIONS. THE TELEHEALTH CAPABILITIES OFFER A SIMPLE-TO-USE IN-HOME ELECTRONIC DEVICE THAT COLLECTS VITAL SIGNS AND TRANSMITS DATA TO MONITOR PATIENT CONDITIONS AND HELP GUIDE APPROPRIATE ACTION. CONVENIENT PRIMARY AND SPECIALTY CARETO BEST SERVE THE LAKESHORE AREA, HOLLAND HOSPITAL OFFERS A COMPREHENSIVE HEALTH CARE NETWORK FEATURING AN EXPANSIVE MEDICAL GROUP THAT INCLUDE FAMILY MEDICINE, INTERNAL MEDICINE, INTERNAL MEDICINE & PEDIATRICS, AND A BROAD RANGE OF SPECIALTY CARE PRACTICES. IN RECENT YEARS, WE HAVE ADDED MANY NEW PRIMARY CARE PROVIDERS AND SPECIALIST TO EXPAND ACCESS TO CARE AND PREPARE TO MEET THE GROWING NEED FOR HEALTH CARE WITHIN THE COMMUNITY. ALL HOLLAND HOSPITAL MEDICAL PRACTICES ALSO OFFER VIRTUAL VISITS - ONLINE APPOINTMENTS FROM THE COMFORT OF HOME. IMMEDIATE CARE OPTIONS INCLUDE OUR WALK-IN CARE AND URGENT CARE. FOR LIFE-THREATENING CONCERNS, EMERGENCY SERVICES ARE OPEN 24/7. WORKPLACE EXCELLENCEHOLLAND HOSPITAL HAS BEEN SELECTED AS A WINNER IN THE BEST AND BRIGHTEST COMPANIES TO WORK FOR COMPETITION FOR 19 CONSECUTIVE YEARS. THE MUCH SOUGHT-AFTER RECOGNITION IDENTIFIES ORGANIZATIONS THAT ARE COMMITTED TO EXCELLENCE IN THEIR HUMAN RESOURCE PRACTICES AND EMPLOYEE ENRICHMENT. EACH ORGANIZATION IS ASSESSED BY ITS OWN EMPLOYEES IN THE AREAS OF COMMUNICATION, WORK-LIFE BALANCE, EMPLOYEE EDUCATION, DIVERSITY, RECOGNITION, RETENTION AND MORE. CONTINUATION OF LINE 4A:COMMUNITY OUTREACH PROGRAMSHOLLAND HOSPITAL'S SERVES THE GREATER COMMUNITY IN MANY WAYS BEYOND OUR INPATIENT AND OUTPATIENT CARE SERVICES. THESE INCLUDE COMMUNITY OUTREACH PROGRAMS:HOLLAND COMMUNITY HEALTH CENTER (CHC)THE CHC IS AN OUTREACH SERVICE OF HOLLAND HOSPITAL IN PARTNERSHIP WITH SPECTRUM HEALTH MEDICAL GROUP AND AFFILIATED PHYSICIANS. THE CHC PROVIDES AFFORDABLE, PRIMARY CARE SERVICES IN A DOCTOR'S OFFICE SETTING. THE MAJORITY OF PATIENTS LACK ADEQUATE HEALTH INSURANCE. NEARLY HALF OF THE PATIENTS ARE CHILDREN. CHC ALSO ACQUIRES AND DISTRIBUTES FREE MEDICATIONS FOR THOSE WHO CANNOT AFFORD THEM. SCHOOL NURSING PROGRAMHOLLAND HOSPITAL'S SCHOOL NURSES ADDRESS THE HEALTH NEEDS FOR ABOUT 13,000 CHILDREN IN FIVE LOCAL SCHOOL DISTRICTS. MANY OF THE STUDENTS LIVE AT OR BELOW THE POVERTY LEVEL AND DO NOT RECEIVE REGULAR MEDICAL CARE OUTSIDE OF SCHOOL. SCHOOL MENTAL HEALTH PROGRAM THIS NEW PROGRAM HAS PROVEN EFFECTIVE IN IMPROVING THE MENTAL HEALTH AND WELLNESS OF STUDENTS THROUGH EARLY INTERVENTION WHEN STUDENT MENTAL HEALTH CONCERNS ARE IDENTIFIED, AND BY COORDINATING CARE BETWEEN THE SCHOOL, FAMILY, CAREGIVERS, PHYSICIANS AND/OR HOSPITAL FOR THE MOST AT-RISK STUDENTS. COMMUNITY HEALTH WORKERTHIS PROGRAM PROVIDES ESSENTIAL CARE COORDINATION AND SUPPORT TO MANY AREA RESIDENTS WHO SUFFER FROM HEALTH PROBLEMS, BUT LACK RESOURCES, TOOLS AND ASSISTANCE TO SUCCESSFULLY NAVIGATE THE SYSTEM AND FIND SOLUTIONS ON THEIR OWN. FAITH COMMUNITY NURSEADULTS AND CHILDREN LIVING AT THE HOLLAND RESCUE MISSION RECEIVE CARE FOR MIND, BODY AND SPIRIT FROM HOLLAND HOSPITAL'S FAITH COMMUNITY NURSE. LAST YEAR, OUR NURSE RECORDED NEARLY 500 CLIENT CONTACTS AND MADE 270 INTERVENTIONS FOR CARE. BREAST CARE FUNDTHE BREAST CARE FUND COVERS THE COST OF SCREENING AND DIAGNOSTIC MAMMOGRAMS, ULTRASOUNDS AND BIOPSIES FOR HUNDREDS OF WOMEN IN OUR COMMUNITY WHO DO NOT HAVE INSURANCE COVERAGE FOR THESE LIFESAVING TESTS.COMMUNITY HEALTH AND WELLNESS OUR HEALTHY LIFE PROGRAMS OFFER A VARIETY OF CLASSES AND INDIVIDUAL EDUCATION OPPORTUNITIES TO SERVE THE COMMUNITY. THE HEALTHY LIFE PROGRAMS OFFICE ALSO WORKS WITH AREA BUSINESSES TO PROVIDE CHRONIC DISEASE MANAGEMENT AND BEHAVIOR CHANGE PROGRAMS DIRECTLY TO EMPLOYEES.COMMUNITY HEALTH NEEDS ASSESSMENTHOLLAND HOSPITAL PARTICIPATES IN THE OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT TO ASSESS THE GENERAL HEALTH OF AREA RESIDENTS AND IDENTIFY NEEDS AND OPPORTUNITIES FOR IMPROVEMENT. AS A SPONSOR AND PARTICIPANT IN THE PROCESS, HOLLAND HOSPITAL USES THE FINDINGS AS INPUT TO HELP GUIDE PRIORITIES AND PROGRAM DEVELOPMENT.SUMMARY DURING FISCAL YEAR 2021, HOLLAND HOSPITAL PROVIDED: PATIENT DAYS 27,300DISCHARGES 7,000BIRTHS 1,300SURGERIES 14,300OUTPATIENT VISITS 464,100EMERGENCY ROOM VISITS 30,200URGENT CARE VISITS 21,100HOME HEALTH VISITS 33,900LAB TESTS 652,600RADIOLOGY PROCEDURES 112,100BEDS 189UNCOMPENSATED MEDICAL COSTS HOLLAND HOSPITAL REMAINS COMMITTED TO CARING FOR MEMBERS OF OUR COMMUNITY WHO ARE UNINSURED OR UNDER-INSURED. IN FY 2021, HOLLAND HOSPITAL PROVIDED UN-REIMBURSED CARE TO OUR PATIENTS AT A COST OF $54 MILLION, DURING ANOTHER PARTICULARLY DIFFICULT YEAR.2021 COMMUNITY BENEFIT SUMMARY $54 MILLION TOTAL COMMUNITY BENEFITUNPAID COST OF MEDICAID $13,235,000UNPAID COST OF MEDICARE $20,890,000CHARITY CARE $1,362,400 BAD DEBT $10,024,200OTHER COMMUNITY BENEFITS (NOTE A) $8,283,400FINANCE COMMENT: CHARITY IS NOW BEING REPORTED AT COST, IN THE PAST IT HAD BEEN REPORTED AT WHAT GROSS CHARGES WOULD HAVE BEEN. NOTE A OTHER COMMUNITY BENEFITS INCLUDE: COMMUNITY EDUCATION & OUTREACH PROGRAMS CASH, IN-KIND DONATIONS & CONTRIBUTIONS HOLLAND COMMUNITY HEALTH CENTER STUDENT NURSING PROGRAM HEALTH PROFESSIONAL EDUCATION & RESEARCH HOLLAND HOSPITAL SUBSIDIZED SERVICES 248621058 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 162 0 1 2470 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 14 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 1 1 X TERRY STEELE 6163925141 602 MICHIGAN AVE HOLLAND MI 49423 DALE M SOWDERS PRESIDENT & CEO 40.00 1.00 X X 962064 0 20844 MARK STID MD TRUSTEE, MEDICAL DIRECTOR 40.00 1.00 X 282440 0 20271 SUSAN ERVINE MD TRUSTEE, CHIEF OF STAFF 1.00 0.00 X 31775 0 0 TONY YASICK MD TRUSTEE, MEDICAL DIRECTOR 1.00 1.00 X 16500 0 0 PHIL KONING CHAIR 1.00 1.00 X X 0 0 0 JAMES STROOP SECRETARY 1.00 1.00 X X 0 0 0 KRIS DEPREE MD TREASURER 1.00 1.00 X X 0 0 0 MICHAEL HILL TRUSTEE 1.00 1.00 X 0 0 0 WILLIAM VANDERVLIET MD TRUSTEE 1.00 1.00 X 0 0 0 DAVE MASON TRUSTEE 1.00 1.00 X 0 0 0 JUANITA BOCANEGRA TRUSTEE 1.00 1.00 X 0 0 0 GWEN AUWERDA TRUSTEE 1.00 0.00 X 0 0 0 LESLIE BROWN TRUSTEE 1.00 0.00 X 0 0 0 SHELLY MACIEJEWSKI TRUSTEE 1.00 0.00 X 0 0 0 MARK L PAWLAK SVP, QUALITY, IS & HOSP OP 40.00 0.00 X 599763 0 12644 TERRY L STEELE VP, FINANCE & CFO 40.00 1.00 X 480797 0 21703 PATTI VANDORT SVP, CNO, REHAB SERV, MARK 40.00 0.00 X 551751 0 16898 DERICK M JOHNSON PHYSICIAN 40.00 0.00 X 804371 0 26803 STEPHEN J MAUGER PHYSICIAN 40.00 0.00 X 869754 0 23503 JOSEPH K POSTMA PHYSICIAN 40.00 0.00 X 600225 0 26699 MICHAEL A TRAVER PHYSICIAN 40.00 0.00 X 669325 0 26596 JOHN K LUDLOW PHYSICIAN 40.00 0.00 X 668340 0 17653 6537105 0 213614 122 0 1 0 CERNER PO BOX 165750 KANSAS CITY MO 64116 SOFTWARE - PURCHASED MAINTENANCE 4242138 TRIMEDX 5451 LAKEVIEW PKWY S DR INDIANAPOLIS IN 46268 HOUSEKEEPING 2552395 LAKEWOOD CONSTRUCTION 11253 JAMES ST HOLLAND MI 49424 CONSTRUCTION 1993649 ELZINGA AND VOLKERS INC 86 E 6TH ST HOLLAND MI 49423 CONSTRUCTION 1984295 ARAMARK CORPORATION 12483 COLLECTIONS CENTER DR CHICAGO IL 60693 HOUSEKEEPING 1916753 60 16437841 2045716 18483557 NET PATIENT SERVICE REVENUE 622110 233290947 232145131 1145816 OTHER RELATED REVENUE 900099 11152801 11152801 PHARMACY SALES UNDER SEC. 340B 446110 8970937 8970937 QUALITY INCENTIVE PAYMENTS 622110 5035211 5035211 258449896 3109746 3109746 885245 158917 726328 726328 726328 27488684 97000 20808507 1007671 6680177 -910671 5769506 5769506 286539033 258030408 1145816 8879252 909988 909988 3005453 2712255 291451 1747 119684273 108412953 11202246 69074 2243192 1233260 1009932 16525583 15169620 1338340 17623 7408581 6803658 604923 356191 356191 155976 155976 22477498 19743429 2733934 135 981031 896351 84680 2323590 2163630 159960 7736576 7004355 724439 7782 5061244 4832507 228737 178190 176832 1358 159268 135478 23790 3370253 1025939 2344314 17858828 16756367 1102461 4133614 2917649 1215965 MEDICAL SUPPLIES & DRUG 45156051 45156051 PROVISION FOR BAD DEBTS 10024228 10024228 REPAIRS & MAINTENANCE 1695285 1640154 55131 DUES AND SUBSCRIPTIONS 694377 521124 173253 492166 385230 92172 14764 272631436 248621058 23899253 111125 45927877 84843565 22573788 28253908 7336404 7335683 4664872 5599549 327029646 180967801 155201703 146061845 203444417 221156186 40459963 64355124 19292186 19440690 498901210 577046550 21799504 21807114 1322682 1304046 90964662 88469570 30037018 49692512 144123866 161273242 X 353671678 414470176 1105666 1303132 354777344 415773308 498901210 577046550 X 13907597 71741028 -24652661 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 17533 17533 0 PART II-B, LINE 1: THE HOSPITAL PAYS DUES TO THE MICHIGAN HOSPITAL ASSOCIATION, AMERICAN HEALTH ASSOCIATION, AND AMERICAN MEDICAL GROUP ASSOCIATION, A PORTION OF WHICH GOES TOWARDS LOBBYING ACTIVITIES. 585000 12996 12996 585000 585000 12665 12665 585000 585000 14900 14900 585000 585000 20286 20286 585000 585000 19874 19874 585000 0.00000 1.00000 0.00000 0 0 9493046 9493046 161408456 72709792 88698664 4988191 3802742 1185449 147242081 104455267 42786814 3897872 3897872 146061845 INVESTMENTS IN AFFILIATED ENTITIES 1957625 F INVESTMENT IN OTHER VENTURE 62397499 F 64355124 PROFESSIONAL LIABILITY INSURANCE 7094428 OTHER LONG-TERM LIABILITIES 8989718 INTEREST PAYABLE 810054 COST REPORT SETTLEMENT PAYABLE 10593251 LEASE LIABILITY 16111283 CONSTRUCTION PAYABLE 6093778 49692512 337908411 71741028 1069588 72810616 265097795 847738 20593500 21441238 286539033 261095846 1069588 1069588 260026258 847738 11757440 12605178 272631436 PART V, LINE 4: EARNINGS FROM THE PERMANENT ENDOWMENTS ARE INTENDED BY THE DONORS TO SUPPORT SCHOOL NURSING PROGRAMS AND TO HELP LOCAL INDIVIDUALS WHO ARE LACKING IN HEALTH INSURANCE/ FINANCIAL CAPACITY TO ACCESS HEALTH CARE. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 158,917. GAIN/LOSS ON SALE OF ASSETS 910,671. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 10,024,224. EXPENSES RECORDED AGAINST INCOME 1,733,216. LOSS ON EQUITY INVESTMENTS 7,714,469. GRANTS 1,121,591. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF ASSETS 910,671. RENTAL EXPENSE 158,917. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 10,024,224. EXPENSES RECORDED AGAINST INCOME 1,733,216. 1 1 X 1 X 225.000000000000 1 X 1 1 0 1 1 1479561 1479561 0.00560 35149792 24125050 11024742 0.04200 36629353 24125050 12504303 0.04760 5125497 6780 5118717 0.01950 163536 163536 0.00060 861869 861869 0.00330 6150902 6780 6144122 0.02340 42780255 24131830 18648425 0.07100 1 774527 774527 0.00290 1 774527 774527 0.00290 0 10024228 0 28750043 35644244 -6894201 X 1 1 1 HOLLAND PHO COORD. RESOURCES FOR ITS MEMBERS FOR THE DELIVERY OF QUALITY HEALTH CARE. 0.50000 0.00000 0.50000 1 1 HOLLAND COMMUNITY HOSPITAL 602 MICHIGAN AVE HOLLAND MI 49423 WWW.HOLLANDHOSPITAL.ORG 1060000036 X X X HOLLAND COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X X 20 1 1 1 1 X HTTPS://TINYURL.COM/YAG4VGPR X HTTPS://TINYURL.COM/YDUJWJR4 X X 1 20 1 HTTPS://TINYURL.COM/YAG4VGPR 0 1 X 225.000000000000 300.000000000000 X X 1 1 X X X X 1 X TINYURL.COM/Y78LJRTZ X TINYURL.COM/Y78LJRTZ X TINYURL.COM/Y78LJRTZ X X X X X X X 1 X 0 X X X X 1 X 0 0 HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 3J: THE NEEDS ASSESSMENT DESCRIBED THE COMMUNITY'S STRENGTHS AND OPPORTUNITIES REGARDING QUALITY OF LIFE, OVERALL HEALTH, HEALTH BEHAVIORS, AND HEALTH CARE. THE TWO BROAD THEMES WHICH EMERGED FROM THE REPORT WERE THE DIRECT RELATIONSHIP BETWEEN HEALTH OUTCOMES AND INCOME/EDUCATION, AND THE EXISTANCE OF CHALLENGED SUBGOUPS WITHIN THE POPULATION. IDENTIFIED AREAS FOR OPPORTUNITIES INCLUDED ACCESS TO HEALTHCARE FOR THOSE WITH PUBLIC HEALTH INSURANCE AND IMPROVED CARE FOR THOSE WITH CHRONIC DISEASE ESPECIALLY DIABETES. HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: DATA WAS OBTAINED FROM MULTIPLE SOURCES INCLUDING; KEY STAKEHOLDERS (EXECUTIVE DIRECTORS OF HOSPITALS, CLINICS AND PUBLIC HEALTH) VIA TELEPHONE INTERVIEWS, KEY INFORMANTS (PHYSICIANS, NURSES, DENTISTS, PHARMACISTS AND SOCIAL WORKERS) VIA ONLINE SURVEY, COMMUNITY RESIDENTS- ADULTS VIA A TELEPHONE SURVEY, AND VULNERABLE AND UNDERSERVED COMMUNITY RESIDENTS VIA A PAPER SURVEY. HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: NORTH OTTAWA COMMUNITY HEALTH SYSTEM & SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: GREATER OTTAWA COUNTY UNITED WAY, OTTAWA COUNTY DEPARTMENT OF PUBLIC HEALTH AND OTTAWA COUNTY COMMUNITY MENTAL HEALTH HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 7D: AVAILABLE UPON REQUEST FROM THE HOSPITAL FACILITY. PRINT COPIES WERE MADE AVAILABLE TO VARIOUS LOCATIONS AND INDIVIDUALS INCLUDING THE COMMUNITY OUTREACH COMMITTEE OF THE HOLLAND HOSPITAL BOARD. THE REPORT WAS ALSO POSTED ON THE HOSPITAL WEBSITE. HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: OTTAWA COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN WAS INITIATED BY THE PARTNERS OF THE CHNA AND COMMUNITY MEMBERS. THE CHIP IDENTIFIES 3 HEALTH PRIORITY AREAS INCLUDING; ACCESS TO HEALTH CARE, MENTAL HEALTH, AND HEALTHY BEHAVIORS. HOLLAND HOSPITAL IS AN ACTIVE PARTNER SERVING ON THE COMMUNITY HEALTH IMPROVEMENT STEERING COMMITTEE. THE HOSPITAL DID NOT ADDRESS ALL NEEDS IDENTIFIED IN THE CHNA DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE THREE PRIORITY NEEDS IDENTIFIED ABOVE. HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY IS POSTED ON THE HOSPITAL'S WEBSITE (ENGLISH AND SPANISH). PATIENTS MAY ALSO OBTAIN A FINANCIAL ASSISTANCE APPLICATION BY CALLING THE CUSTOMER SERVICE LINE. INFORMATION ON HOW TO OBTAIN AN APPLICATION IS ALSO AVAILABLE ON OUR BILLING STATEMENTS, POSTED IN THE FACILITY'S WAITING ROOMS, AS WELL AS OUTLINED ON A BUSINESS CARD AND PLAIN LANGUAGE SUMMARY WHICH IS OFFERED TO ALL PATIENTS AT REGISTRATION, ADMISSION AND AVAILABLE AT DISCHARGE. HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 20E: FINANCIAL ASSISTANCE IS DISCUSSED AND OFFERED TO PATIENTS VIA OUR PATIENT FINANCIAL SERVICE CUSTOMER SERVICE REPRESENTATIVES, PATIENT ADVOCATES, IN-HOUSE MEDICAID VENDOR , PRE-COLLECT AND COLLECTION AGENCIES. 6 1 - HEALTH POINTE 15100 WHITTAKER WAY GRAND HAVEN MI 49417 FULL-SERVICE AND FULLY INTEGRATED OUTPATIENT FACILITY 2 - LAKESHORE AREA RADIATION ONCOLOGY CENTER 12642 RILEY STREET HOLLAND MI 49424 COMPREHENSIVE OUTPATIENT RADIATION TREATMENT CENTER 3 - HOLLAND HOSPITAL MEDICAL GROUP 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE 4 - WEST MICHIGAN UROLOGICAL ASSOCIATES 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE 5 - HHMG - INTERNAL FAMILY MEDICINE 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE 6 - THE BONE AND JOINT CENTER OF HOLLAND 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE PART I, LINE 3C: FAMILY INCOME 225 TO 300 PERCENT OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR DISCOUNTED CARE ON A RATED SCALE. PART I, LINE 7: A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THE SCHEDULE.THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), HEALTH PROFESSIONS EDUCATION (LINE 7F), AND CASH AND IN-KIND CONTRIBUTIONS (LINE 7I). PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 10,024,228. PART II, COMMUNITY BUILDING ACTIVITIES: HOLLAND HOSPITAL PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES FOR RESIDENTS OF OTTAWA COUNTY AND ALLEGAN COUNTY, AS WELL AS OTHER AREAS OF MICHIGAN AND BEYOND. THESE SERVICES REACH PATIENT POPULATIONS THAT ARE DEMOGRAPHICALLY AND SOCIO-ECONOMICALLY DIVERSE. IN ADDITION TO MEDICAL AND SURGICAL CARE, HOLLAND HOSPITAL OFFERS REHABILITATION AND PHYSICAL THERAPY, MENTAL HEALTH SERVICES, DIAGNOSTIC TESTING, SCREENINGS, COMMUNITY EDUCATION AND SUPPORT PROGRAMS. IN FY 2021, THE HOSPITAL WAS ALSO HIGHLY ENGAGED IN WORKING WITH AREA HEALTH AGENCIES, COMMUNITY ORGANIZATIONS, LOCAL BUSINESSES AND OTHER HEALTH CARE PROVIDERS TO QUICKLY AND ACCURATELY INFORM AND EDUCATE OUR COMMUNITY ABOUT THE COVID-19 VIRUS AS WELL AS TO COORDINATE COVID-19 TESTING SERVICES AND TREAT MANY COVID-19 POSITIVE PATIENTS.HOLLAND HOSPITAL'S COMMUNITY OUTREACH PROGRAMS HELP PROVIDE SECURITY AND STABILITY THOSE IN NEED. OUTREACH EFFORTS FOCUS ON FOUR KEY AREAS: (1) HOLLAND COMMUNITY HEALTH CENTER (CHC): THE CHC IS AN OUTREACH SERVICE OF HOLLAND HOSPITAL IN PARTNERSHIP WITH SPECTRUM HEALTH MEDICAL GROUP AND AFFILIATED PHYSICIANS. THE CHC PROVIDES AFFORDABLE, PRIMARY CARE SERVICES IN A DOCTOR'S OFFICE SETTING. THE MAJORITY OF PATIENTS LACK ADEQUATE HEALTH INSURANCE. NEARLY HALF OF THE PATIENTS ARE CHILDREN. THE CHC ALSO ACQUIRES AND DISTRIBUTES FREE MEDICATIONS FOR PATIENTS WHO CANNOT AFFORD THEM; (2) SCHOOL NURSE PROGRAM: HOLLAND HOSPITAL'S SCHOOL NURSES ADDRESS THE HEALTH NEEDS OF APPROXIMATELY 13,000 CHILDREN IN FIVE LOCAL SCHOOL DISTRICTS. MANY OF THE STUDENTS LIVE AT OR BELOW THE POVERTY LEVEL AND DO NOT RECEIVE REGULAR MEDICAL CARE OUTSIDE OF SCHOOL. (2) SCHOOL MENTAL HEALTH PROGRAM: THIS NEW PROGRAM HAS PROVEN EFFECTIVE IN IMPROVING THE MENTAL HEALTH AND WELLNESS OF STUDENTS THROUGH EARLY INTERVENTION WHEN STUDENT MENTAL HEALTH CONCERNS ARE IDENTIFIED, AND BY COORDINATING CARE BETWEEN THE SCHOOL, FAMILY, CAREGIVERS, PHYSICIANS AND/OR HOSPITAL FOR THE MOST AT-RISK STUDENTS. (3) COMMUNITY HEALTH CARE WORKER: THIS PROGRAM PROVIDES ESSENTIAL CARE COORDINATION AND SUPPORT TO MANY AREA RESIDENTS WHO SUFFER FROM HEALTH PROBLEMS, BUT LACK RESOURCES, TOOLS AND ASSISTANCE TO SUCCESSFULLY NAVIGATE THE SYSTEM AND FIND SOLUTIONS ON THEIR OWN. (4) FAITH COMMUNITY NURSE: ADULTS AND CHILDREN LIVING AT THE HOLLAND RESCUE MISSION RECEIVE CARE FOR MIND, BODY AND SPIRIT FROM HOLLAND HOSPITAL'S FAITH COMMUNITY NURSE. LAST YEAR, OUR NURSE RECORDED NEARLY 500 CLIENT CONTACTS AND MADE 270 INTERVENTIONS FOR CARE. IN ADDITION TO THE ABOVE, HOLLAND HOSPITAL ALSO MAINTAINS ITS BREAST CARE FUND WHICH FOCUSES ON EARLY DETECTION AS THE BEST OPPORTUNITY TO TREAT BREAST CANCER AND REDUCE THE RISK OF RECURRENCE. THE BREAST CARE FUND COVERS THE COST OF SCREENING AND DIAGNOSTIC MAMMOGRAMS, ULTRASOUNDS AND BIOPSIES FOR HUNDREDS OF WOMEN IN OUR COMMUNITY WHO DO NOT HAVE INSURANCE COVERAGE FOR THESE LIFESAVING TESTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A PERIODIC STUDY (APPROXIMATELY EVERY 3 YEARS) THAT LOOKS AT THE HEALTH OF PEOPLE IN OTTAWA COUNTY AND SERVES AS A TOOL TO HELP ADDRESS HEALTH NEEDS THROUGH COMMUNITY ENGAGEMENT AND COLLABORATION. HOLLAND HOSPITAL IS PART OF THE ADVISORY COUNCIL OF OTTAWA COUNTY AREA PUBLIC HEALTH PARTNERS, INCLUDING HEALTH AGENCIES AND OTHER HOSPITALS, WHICH COLLECTS AND ORGANIZES DATA FOR THE CHNA. THIS INFORMATION IS USED TO HELP GUIDE PLANS AND PROGRAMS THAT CAN CONTINUE TO IMPROVE THE HEALTH OF OUR COMMUNITY. DETAILS OF THE 2020 CHNA ARE PROVIDED IN SECTIONS BELOW. PART III, LINE 2: THIS IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. PART III, LINE 3: PATIENT ACCOUNTS ARE REVIEWED FOR % OF BAD DEBTS SENT TO COLLECTIONS THAT WERE POSSIBLY CHARITY CARE ACCOUNTING TO THE FINANCIAL ASSISTANCE POLICY. THIS PERCENTAGE IS THEN APPLIED TO BAD DEBTS AT GROSS CHARGES. GROSS PATIENT CHARGES ARE THEN COMPARED TO OPERATING EXPENSES, NON-PATIENT CARE ACTIVITIES EXPENSES, AND MEDICAID PROVIDE TAXES TO DETERMINE A COST PERTCENTAGE AND THIS PERCENTAGE IS THEN APPLIED TO THE PREVIOUSLY MENTIONED CALCAULATION. THE RESULT IS AN ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSITANCE POLICY. PART III, LINE 4: ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE." PART III, LINE 8: COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS 990 INSTRUCTIONS. THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT DUE TO ITS REPRESENTATION OF COST OF A PORTION OF SERVICES PROVIDED TO THE COMMUNITY WITHOUT PAYMENT. PART III, LINE 9B: ANY BALANCE DEEMED PATIENT RESPONSIBILITY (AFTER INSURANCE PAYMENT/DETERMINATION AND AFTER ANY APPLICABLE DISCOUNT OR CHARITY), IF NOT PAID, WILL RECEIVE A MINIMUM OF FOUR STATEMENTS. THE ACCOUNT WILL BE HELD ON HOLLAND HOSPITAL'S "BOOKS" UNTIL IT HAS AGED TO A MINIMUM OF 120 DAYS FROM THE DATE OF THE FIRST STATEMENT. AT THIS TIME THE ACCOUNT IS ELIGIBLE AND WILL BE REVIEWED TO BE SENT TO A COLLECTION AGENCY. PART VI, LINE 2: IN COLLABORATION WITH THE OTTAWA COUNTY HEALTH DEPARTMENT, THE UNITED WAY, AND SEVERAL OTHER LOCAL ENTITIES A COMMUNITY ASSESSMENT IS PERFORMED. THE UNITED WAY PUBLISHES THEIR ASSESSMENT EVERY 5 YEARS (LAST ONE IN 2017) AND THE OTTAWA COUNTY HEALTH DEPARTMENT PUBLISHES THEIR YOUTH ASSESSMENT (LAST ONE IN 2019) AND ADULT ASSESSMENT (LAST ONE IN 2020). THE CHNA COLLABORATIVE CONSISTED OF HOLLAND HOSPITAL, NORTH OTTAWA, SPECTRUM ZEELAND HOSPITALS AND THE OTTAWA COUNTY HEALTH DEPARTMENT. PART VI, LINE 3: OUR FINANCIAL ASSISTANCE POLICY IS POSTED ON OUR WEBSITE. REFERENCED ON OUR BILLING STATEMENTS, POSTED IN OUR EMERGENCY WAITING ROOM AND ADMISSION OFFICES. THIS INCLUDES INSTRUCTION OF HOW TO REQUEST A COPY OF THE POLICY. IT IS ALSO AVAILABLE AT THE TIME OF REGISTRATION AND/OR WHEN THERE IS A PATIENT REQUEST. FINANCIAL ASSISTANCE IS ALSO REFERENCED IN BROCHURES AND OTHER COMMUNICATIONS WITH OUR PATIENTS. PART VI, LINE 4: HOLLAND HOSPITAL'S PRIMARY SERVICE AREA (PSA) CONSISTS OF NINE ZIP CODES THAT FALL WITHIN ALLEGAN AND OTTAWA COUNTIES OF WEST MICHIGAN. TOTAL POPULATION OF THE PSA IS 161,654 WITH RAPID GROWTH OVER THE PAST 10 YEARS (+9.3%) THAT HAS OUTPACED THE STATE OF MICHIGAN. CONTINUED GROWTH IS FORECAST FOR THE PSA OVER THE NEXT FIVE YEARS (+3.3%). THE US CENSUS BUREAU ESTIMATES FOR 2020 SHOW THE TOTAL POPULATION FOR OTTAWA COUNTY IS 296,200 AND THE TOTAL POPULATION OF ALLEGAN COUNTY IS 120,502. OTTAWA COUNTY IS THE FASTEST GROWING COUNTY IN MICHIGAN AND ALLEGAN COUNTY RANKS AS THE FOURTH FASTEST GROWING COUNTY. THE MOST RECENT CATEGORIZATION OF DATA FROM THE CENSUS BUREAU COMES FROM THE AMERICAN COMMUNITY SURVEY WHICH SHOWS THE FOLLOWING POPULATION DEMOGRAPHICS FOR OTTAWA AND ALLEGAN COUNTIES: OTTAWA COUNTY RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (1.9%), AMERICAN INDIAN AND ALASKA NATIVE (0.6%), ASIAN (3.0%), NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (0.1%), HISPANIC OR LATINO (10.2%), WHITE, NOT HISPANIC OR LATINO (83.4%), TWO OR MORE RACES (2.0%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $69,314, PERSONS IN POVERTY (7.8%).ALLEGAN COUNTY RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (1.6%), AMERICAN INDIAN AND ALASKA NATIVE (0.7%), ASIAN (0.9%), NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (0.0%), HISPANIC OR LATINO (7.5%), WHITE, NOT HISPANIC OR LATINO (88.1%), TWO OR MORE RACES (1.9%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $62,965, PERSONS IN POVERTY (10.8%).ACCORDING TO THE 2020 OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA):IN 2020, THE SOCIAL, ECONOMIC, AND POLITICAL IMPACT OF THE CORONAVIRUS (COVID-19) PANDEMIC HAS BEEN SYSTEMIC WORLDWIDE. INDIVIDUALLY THERE WAS, AND CONTINUES TO BE, AN IMPACT ON PHYSICAL AND MENTAL HEALTH. BECAUSE THIS WAS SUCH A UNIQUE YEAR, THE APPROACH TO PRESENTING RESEARCH FINDINGS IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT (2020) REPORT IS SLIGHTLY DIFFERENT THAN IN PREVIOUS REPORTS. THAT SAID, ON MANY LEVELS THE FINDINGS FROM THE 2020 CHNA INDICATE THAT OTTAWA COUNTY IS ONE OF THE HEALTHIEST COUNTIES IN MICHIGAN, ACCORDING TO THE COUNTY HEALTH RANKINGS. OTTAWA COUNTY RESIDENTS ALSO REPORT GOOD OR BETTER HEALTH AND RELATIVELY LOW LEVELS OF PSYCHOLOGICAL DISTRESS. THEY ENJOY LONGER LIFE EXPECTANCY AND LOWER ADULT AND INFANT MORTALITY RATES THAN RESIDENTS ACROSS MICHIGAN OR THE U.S. THE PREVALENCE OF CHRONIC CONDITIONS TENDS TO BE LOW RELATIVE TO THE STATE AND THE NATION; HOWEVER, THE PREVALENCE OF SOME CHRONIC CONDITIONS, INCLUDING DIABETES, IS UP NOTABLY FROM PREVIOUS CHNA ITERATIONS. THIS COULD BE DIRECTLY, OR INDIRECTLY, RELATED TO THE COVID-19 PANDEMIC. OTTAWA COUNTY PERFORMS WELL WHEN IT COMES TO CLINICAL PREVENTIVE PRACTICES. A SIZEABLE MAJORITY OF ADULTS AGE 65 OR OLDER HAVE RECEIVED FLU VACCINES. THE VAST MAJORITY OF CHILDREN AGE 19-35 MONTHS ARE FULLY IMMUNIZED AND ALMOST ALL CHILDREN 0-17 HAVE HAD A ROUTINE PHYSICAL EXAM IN THE PAST YEAR. THE VAST MAJORITY OF PREGNANT WOMEN BEGIN PRENATAL CARE IN THE FIRST TRIMESTER. THE PREVALENCE OF RISK BEHAVIORS IS ALSO, TYPICALLY, RELATIVELY LOW COMPARED TO THE STATE OR NATION. THE PREVALENCE OF CIGARETTE SMOKING IS DOWN IN 2020, WHILE HEAVY DRINKING AND BINGE DRINKING ARE HIGHER THIS YEAR THAN IN THE PREVIOUS CHNA (2017). THIS COULD ALSO BE CONNECTED TO THE COVID-19 PANDEMIC. WHILE OTTAWA COUNTY POSSESSES THE SOCIAL AND COMMUNITY CHARACTERISTICS THAT TEND TO DISTINGUISH A COMMUNITY AS HEALTHY, DISPARITIES IN HEALTH CARE DISTRIBUTION AND ACCESS CONTINUE TO EXIST WITH POCKETS OF POVERTY IN THE AREA; 8.2% OF ALL ADULTS AGE 18-64 HAVE NO HEALTH INSURANCE AND 11.9% HAVE NO PERSONAL HEALTH CARE PROVIDER. AREAS OF HEALTH CONCERNS CONTINUE TO INCLUDE MENTAL HEALTH, SUBSTANCE ABUSE, OBESITY AND CHRONIC DISEASES, AS WELL AS CERTAIN SOCIAL DETERMINANTS OF HEALTH SUCH AS AVAILABILITY OF AFFORDABLE HOUSING. PART VI, LINE 5: IN 2021, HOLLAND HOSPITAL RECEIVED FOUR MAJOR AWARDS FOR COMMUNITY HEALTH PROMOTION RELATED TO BOTH INTERNAL AND EXTERNAL COVID EDUCATION AND CRISIS COMMUNICATIONS. THESE AWARDS REFLECT OUR HOSPITAL-WIDE DEDICATION AND COMMITMENT TO PROMOTION OF COMMUNITY HEALTH UNDER EXTREME CIRCUMSTANCES DURING THE PANDEMIC. OVERALL, OUR PROMOTION OF COMMUNITY HEALTH IS EVIDENCED BY PRESENTATIONS AND SPONSORSHIP SUPPORT OF COMMUNITY WIDE EVENTS, EDUCATIONAL LECTURES, AND EXTENSIVE HEALTH INFORMATION PROVIDED THROUGH BOTH DIGITAL AND TRADITIONAL MEDIA. THE HOSPITAL WEBSITE IS A RICH RESOURCE OF INFORMATION ON HEALTH CONCERNS AND CONSUMER GUIDANCE FOR HEALTH CARE DECISIONS AND ACCESS TO SERVICES. ON A REGULAR BASIS, HOSPITAL PHYSICIANS AND CLINICIANS SHARE ADVICE WITH THE GENERAL PUBLIC THROUGH WEBSITE ARTICLES, VIDEOS, HEALTH BLOGS, TV/RADIO AND PRINT INTERVIEWS. MEMBERS OF THE HOSPITAL'S STAFF SERVE ON MAJOR COMMUNITY EVENT STEERING COMMITTEES. THE HOSPITAL ALSO WELCOMES INTERNS AND OFFERS TOURS FOR HIGH SCHOOL AND COLLEGE STUDENTS INTERESTED IN PURSUING HEALTHCARE DEGREES. OUR INFLUENCE ON HEALTHY BEHAVIORS IS ALSO EVIDENCED BY OUR COMMUNITY OUTREACH PROGRAMS (DESCRIBED ABOVE) THAT INCLUDE THE HOLLAND COMMUNITY HEALTH CENTER, WHICH PROVIDE AFFORDABLE CARE FOR THOSE WHO LACK HEALTH INSURANCE; THE SCHOOL NURSE PROGRAM AND SCHOOL MENTAL HEALTH PROGRAM WHICH ADDRESS THE HEALTH NEEDS OF STUDENTS AND SUPPORT FOR THEIR FAMILIES; THE COMMUNITY HEALTH CARE WORKER PROGRAM WHICH HELPS COORDINATE CARE FOR THOSE IN NEED; THE FAITH COMMUNITY NURSE WHO CARES FOR ADULTS AND CHILDREN AT THE HOLLAND RESCUE MISSION; AND THE BREAST CARE FUND THAT COVERS THE COST OF SCREENING AND DIAGNOSTIC MAMMOGRAMS AND OTHER BREAST CARE DIAGNOSTICS FOR HUNDREDS OF AREA WOMEN EACH YEAR. PART VI, LINE 6: NOT AFFILIATED. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 COMMUNITY HEALTH CENTER 602 MICHIGAN AVENUE HOLLAND MI 49423 200602574 501(C)(3) 899988 N/A N/A OPERATIONAL CASH FLOW TO BREAK-EVEN THE COMMUNITY FOUNDATION OF THE HOLLAND ZEELAND AREA 85 E 8TH ST STE 100 HOLLAND MI 49423 386095283 501(C)(3) 10000 N/A N/A TO SUPPORT THE 'NOW FOR THE NEXT' PROGRAM 2 0 PART I, LINE 2: THE HOSPITAL RECEIVES THEIR MONTHLY INTERNAL FINANCIALS AND A COPY OF THE AUDITED STATEMENTS ANNUALLY. HOLLAND HOSPITAL IS FUNDING, IN PART, THE OPERATIONS OF THE ABOVE MENTIONED CLINIC, WHICH IS A SIGNIFICANT COMMUNITY BENEFIT X X X 0 1 0 0 0 0 0 1 0 DALE M SOWDERS PRESIDENT & CEO 572630 0 375000 0 14434 0 7877 0 12967 0 982908 0 0 0 STEPHEN J MAUGER PHYSICIAN 285002 0 554678 0 30074 0 5340 0 18163 0 893257 0 0 0 DERICK M JOHNSON PHYSICIAN 794000 0 0 0 10371 0 8550 0 18253 0 831174 0 0 0 MICHAEL A TRAVER PHYSICIAN 448643 0 208829 0 11853 0 8550 0 18046 0 695921 0 0 0 JOHN K LUDLOW PHYSICIAN 448643 0 208829 0 10868 0 4569 0 13084 0 685993 0 0 0 JOSEPH K POSTMA PHYSICIAN 275018 0 292590 0 32617 0 8550 0 18149 0 626924 0 0 0 MARK L PAWLAK SVP, QUALITY, IS & HOSP OP 289598 0 132000 0 178165 0 6066 0 6578 0 612407 0 0 0 PATTI VANDORT SVP, CNO, REHAB SERV, MARK 289598 0 213500 0 48653 0 6015 0 10883 0 568649 0 0 0 TERRY L STEELE VP, FINANCE & CFO 317678 0 152130 0 10989 0 8550 0 13153 0 502500 0 0 0 MARK STID MD TRUSTEE, MEDICAL DIRECTOR 174678 0 50001 0 57761 0 2097 0 18174 0 302711 0 0 0 PART I, LINE 4B DALE SOWDERS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE SERP IS DESIGNED TO PROVIDE THE PARTICIPANT WITH A TARGET BENEFIT FOR LIFE BEGINNING AT THE PARTICIPANTS ATTAINMENT OF AGE 65 EQUAL TO 60 PERCENT OF THE PARTICIPANTS FINAL AVERAGE COMPENSATION, OFFSET BY THE PARTICIPANTS SOCIAL SECURITY BENEFIT AND 401(K) SAVINGS PLAN EMPLOYER CONTRIBUTION EQUIVALENT. CONTRIBUTIONS MADE TO THE SERP ARE INCLUDED IN PART II, COLUMN (C). NO PAYMENTS WERE MADE IN 2020. PART I, LINE 7 MANAGEMENT BONUSES ARE DISCRETIONARY AND DETERMINED BY THE BOARD. A MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 800596186 59447TNK5 2016-10-06 41320000 CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004B BONDS 0 0 0 B MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 800596186 NONEAVAIL 2020-08-03 10445481 CONSTRUCTION OF NEW BUILDING 0 0 0 C MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 800596186 59447PTK7 2013-02-20 39641117 CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004A BONDS 0 0 0 A 2245000 44193387 573771 21796000 21823616 2016 0 1 1 1 B 10445481 2020 1 0 1 1 C 1285000 39641117 512903 20471662 18656552 2015 0 1 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 A 0 B 0 C 0 SCHEDULE K, PART I, ISSUER NAME: THE MICHIGAN FINANCE AUTHORITY IS THE SUCCESSOR IN INTEREST TO THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (EIN: 38-2889417), PURSUANT TO MICHIGAN EXECUTIVE ORDER 2010-2. EFFECTIVE MAY 30, 2010, ALL THE POWERS, RIGHTS, RESPONSIBILITIES AND DUTIES OF THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY WERE TRANSFERRED TO THE MICHIGAN FINANCE AUTHORITY PURSUANT TO MICHIGAN EXECUTIVE ORDER 2010-2. FORM 990, PART I, ITEM C DBA: LAKESHORE HEALTH PARTNERS DBA: WESTERN MICHIGAN UROLOGICAL ASSOCIATES DBA: THE BONE AND JOINT CENTER OF HOLLAND DBA: SURGERY CENTER OF WESTERN MICHIGAN DBA: HOLLAND HOSPITAL HOME HEALTH SERVICES DBA: HOLLAND HOSPITAL MEDICAL GROUP FORM 990, PART VI, SECTION B, LINE 11B HOLLAND COMMUNITY HOSPITAL'S CEO AND CFO REVIEW THE FORM 990 PRIOR TO FILING. THE CEO THEN SIGNS AND FILES THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS, ADMINISTRATION, DIRECTORS AND MANAGERS FILL OUT A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. THESE FORMS ARE COLLECTED BY THE COMPLIANCE OFFICE, INVESTIGATED AND THEN MAINTAINED BY HUMAN RESOURCES. THE BYLAWS SPECIFICALLY STATE THAT A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST AS TO A MATTER BEFORE THE BOARD SHOULD NOT VOTE OR USE PERSONAL INFLUENCE WITH OTHER BOARD MEMBERS. THE MINUTES OF THE BOARD MEETING SHALL DISCLOSE THE MEMBER'S ABSTINENCE FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES CONSULTANTS TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM AND RECOMMEND UPDATES/INCREASES AS DICTATED BY THE MARKET. THIS PROCESS OCCURS EVERY THREE YEARS OR AS DIRECTED BY THE BOARD. COMPENSATION IS SET FOR EACH POSITION WITH ESTABLISHED TARGETS USING NATIONAL AND REGIONAL DATA FOR SIMILAR HOSPITALS. THIS POLICY IS BOARD APPROVED AND HAS AN ONGOING REVIEW PROCESS WHICH IS COMPARATIVE AND DATA-DRIVEN. THIS PROCESS OCCURRED MOST RECENTLY IN 2021. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: REALIZED AND UNREALIZED LOSS IN AFFILIATES -7,714,469. IMPAIRMENT OF GOODWILL AND OTHER INTANGIBLE ASSET -16,938,192. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. HOLLAND HOSPITAL PHYSICIAN CLINIC 602 MICHIGAN AVENUE HOLLAND MI 49423 263479537 NOT ACTIVE MI 0 0 HOLLAND COMMUNITY HOSPITAL HOLLAND COMMUNITY HOSPITAL AUTHORITY SELF-INSURANCE TRUST FUND 602 MICHIGAN AVENUE HOLLAND MI 49423 386389385 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I HOLLAND COMMUNITY HOSPITAL 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0